JULIE A JACKSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****22

License Status

ACTIVE

Business

First Name

JULIE

Middle

Last Name

JACKSON

Business Name

JULIE A JACKSON

Original Issue Date

01/27/2016

Effective Date

05/24/2024

Expiration Date

05/31/2026

City

EDWARDSVILLE

State

Zip

62025

County

JERSEY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026